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In 1980, Rebouche and Engel first elucidated the mechanism and process of L-carnitine biosynthesis in organisms

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Vilks K, Videja M, Makrecka-Kuka M, Katkevics M, Sevostjanovs E, Grandane A, et al

This is a critical methodological confounder that has been inflating the perceived muscle wasting signal in large clinical trials